Bone tie methods

Abstract

Various embodiments of bone ties, bone tie inserters, and methods for treating the spine are provided. The methods can include wrapping the bone tie around transverse processes of adjacent vertebrae to correct coronal plane deformity. The methods can include wrapping the bone tie around the spinous process of one vertebra and around the transverse process of a second adjacent vertebra to achieve rotational correction. The methods can include wrapping the bone tie around the lamina of adjacent vertebrae to achieve sagittal correction. The methods can include applying tension to the bone tie to set the sagittal correction. The methods can include passing the bone tie through a lumen in a vertebral body or a pedicle of the inferior vertebra and the lamina or articular process of the superior vertebra.

What is claimed is: 
     
       1. A method of treating vertebrae, the method comprising:
 positioning a bone tie around a transverse process of a first vertebra, 
 positioning the bone tie around a transverse process of a second vertebra, and 
 positioning a fastener through a fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion, 
 wherein the bone tie forms a loop around the transverse process of the first vertebra and the transverse process of the second vertebra. 
 
     
     
       2. The method of  claim 1 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into a spinous process. 
     
     
       3. The method of  claim 1 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into the transverse process of the first vertebra. 
     
     
       4. The method of  claim 1 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into the first vertebra. 
     
     
       5. The method of  claim 1 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into the second vertebra. 
     
     
       6. The method of  claim 1 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to provide torque. 
     
     
       7. The method of  claim 1 , further comprising tightening the bone tie to correct a coronal plane deformity. 
     
     
       8. A method of treating vertebrae, the method comprising:
 positioning a bone tie around a spinous process of a first vertebra, 
 positioning the bone tie around a transverse process of a second vertebra, and 
 positioning a fastener through a fastener portion of the bone tie to anchor the bone tie to an anatomical portion, 
 wherein the bone tie forms a loop around the spinous process of the first vertebra and the transverse process of the second vertebra. 
 
     
     
       9. The method of  claim 8 , wherein positioning the fastener through the fastener portion of the bone tie to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to the spinous process of the first vertebra. 
     
     
       10. The method of  claim 8 , wherein positioning the fastener through the fastener portion of the bone tie to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to the transverse process of the second vertebra. 
     
     
       11. The method of  claim 8 , wherein positioning the fastener through the fastener portion of the bone tie to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to the first vertebra. 
     
     
       12. The method of  claim 8 , wherein positioning the fastener through the fastener portion of the bone tie to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to the second vertebra. 
     
     
       13. The method of  claim 8 , wherein positioning the fastener through the fastener portion of the bone tie to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to provide torque. 
     
     
       14. The method of  claim 8 , further comprising tightening the bone tie to correct a rotational deformity. 
     
     
       15. A method of treating vertebrae, the method comprising:
 positioning a bone tie around a lamina of a first vertebra, 
 positioning the bone tie around a lamina of a second vertebra, and 
 positioning a fastener through a fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion, 
 wherein the bone tie forms a loop around the lamina of the first vertebra and the lamina of the second vertebra. 
 
     
     
       16. The method of  claim 15 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into a spinous process. 
     
     
       17. The method of  claim 15 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into a transverse process. 
     
     
       18. The method of  claim 15 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into the first vertebra. 
     
     
       19. The method of  claim 15 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the fastener into the second vertebra. 
     
     
       20. The method of  claim 15 , wherein positioning the fastener through the fastener portion of the bone tie and into an anatomical portion of the first vertebra or the second vertebra to anchor the bone tie to the anatomical portion comprises anchoring the bone tie to provide torque. 
     
     
       21. The method of  claim 15 , further comprising tightening the bone tie to correct a sagittal plane deformity.